NOMADIC PASTORALIST COMMUNITIES IN GARISSA COUNTY

 

Garissa County in Kenya’s north eastern region faces many unique challenges in health care access and utilisation. The county’s landscape is mostly arid - desert terrain, with inhabitants being mainly

nomads. An average Garissa woman has to travel more than 35 kilometres to receive basic health care1. Less than half of pregnant women complete the 4 recommended ANC visits, and two thirds deliver their babies at home with unskilled traditional birth attendants2. This poor health outcomes for Garissa’s women and infants could be attributed to a number of factors such as the nomadic culture which makes access to health facility a challenge, insecurity and the remote nature of the county which makes it difficult to attract and retain sufficient health workers leading to severe health workforce shortage.

 

The Centre for Maternal and Newborn Health-Liverpool School of Tropical Medicine (CMNH-LSTM) partnered with the Kenyan Ministry of Health, DFID and UNICEF to increase the availability and improve the quality of Skilled Birth Attendance and Emergency Obstetric and Newborn Care (EmONC). LSTM does this through competency based EmONC training for maternity care and training of maternity care providers on quality improvement and strengthening MNH data gathering.

UNICEF and its implementing partners on the other, implemented the MNH programme with specific interventions aimed at increasing access and utilisation of basic maternal and new-born services targeting women of reproductive age. These included:

  • Demand side financing and human resource for health;
  • Strengthened M&E and data quality assurance;
  • Upgrade and functionalise the centres of excellence to provide EmONC and CEmONC; and
  • Demand generation – strengthening community health system and social accountability process.

 

 

1 Kenya Demographic and Health Survey, 2014 (KDHS, 2014)

2 Ibid

Afya kwa Ukoo

Afya kwa Ukoo

TeleAfya

TeleAfya

 Uterine Balloon Tamponade

Uterine Balloon Tamponade

Despite the investments made to date and current MNH activities, there are opportunities for improving MNH outcomes related to the following priority gaps:

Garissa
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